| Nicole Kelly, PA-C | |
|
12340 S 450 E, Draper, UT 84020-8154 | |
| (801) 501-9797 | |
| Not Available |
| Full Name | Nicole Kelly |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 12340 S 450 E, Draper, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013312339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9190865-1206 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Kelly, PA-C 8899 S 700 E, Suite 250, Sandy, UT 84070-1810 Ph: (801) 613-2711 | Nicole Kelly, PA-C 12340 S 450 E, Draper, UT 84020-8154 Ph: (801) 501-9797 |
Scott Bruderer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020 Phone: 801-576-2300 | |
Megan Furber, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-576-2000 | |
Laura Eccles, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 360, Draper, UT 84020 Phone: 801-260-3687 | |
Joseph Michael Llavina, Physician Assistant Medicare: Medicare Enrolled Practice Location: 721 E 12200 S Ste 101, Draper, UT 84020 Phone: 801-369-8989 Fax: 801-704-9741 | |
Chad Michael Duford, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14425 S Bitterbrush Ln, Draper, UT 84020 Phone: 801-576-7292 | |
Tyson Wilcox, Physician Assistant Medicare: Medicare Enrolled Practice Location: 11593 S Douglas Vista Dr, Draper, UT 84020 Phone: 801-592-7884 |